Rachel Wilson, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Chicora, PA
NPI 1801913876 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801913876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SL008653 (PA)
- Practice address
- 1011 Gameland Rd
Chicora, PA 16025-2631 - Phone
- (724) 991-6677
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL008653 | PA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL008653 | PA | Yes |
Addresses
Primary practice location
1011 Gameland Rd
Chicora, PA 16025-2631
Mailing address
1011 Gameland Rd
Chicora, PA 16025-2631
Phone (724) 991-6677
Other providers in Chicora, PA
- Sarah Renee Rodgers
- Christopher Robert Rugaber
- Matthew James Sabo
- Shannon Wound Care Consultants LLC
- Janine Marie Sisko
- Joseph Yeager
All providers in Chicora, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.